DR. JOHN THOMAS FRASCA MD
NPI 1962449959
Surgery in Norfolk, MA

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
99.4/100
CMS Quality Rating
31 PINE ST, SUITE 202, NORFOLK, MA 02056(508) 660-1115(508) 660-1114 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Thomas Frasca Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN THOMAS FRASCA MD (NPI 1962449959) is an individual surgery provider in Norfolk, Massachusetts, licensed in Massachusetts (58215) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Sturdy Memorial Hospital, and is a graduate of Tufts University School Of Medicine (1984).

NPPES Registry Identity

NPI1962449959
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JOHN THOMAS FRASCACredential: MD
Location Address31 PINE ST, SUITE 202Norfolk, MA 02056-1642
Mailing Address31 Pine St Ste 202Norfolk, MA 02056-1680 · (508) 660-1115 · Fax (508) 660-1114
Fax(508) 660-1114
Sole ProprietorYes
Medical School CMSTufts University School Of MedicineGraduated 1984
Enumeration DateMay 31, 2006
Last NPPES UpdateOctober 27, 2020
NPPES CertifiedOctober 27, 2020
NPI 1962449959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MA · 58215
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License 58215 (MA)
31 PINE ST, Norfolk, MA 02056

Other Identifiers 6

Medicaid3028054MA
Other8514MA · Harvard Pilgrim
Other709064MA · Tufts
OtherJ06801MA · Blue Cross & Blue Shield
Other17-02018MA · United Health
Other822787MA · Us Healthcare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. John Thomas Frasca Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315994423
PECOS Enrollment IDI20050331001000
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
105 services79 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
77 services76 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
56 services48 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
48 services48 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
46 services42 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
29 services29 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sturdy Memorial Hospital

Acute Care Hospitals · Attleboro, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220008
Location211 Park StreetAttleboro, MA 02703 · Bristol County
Emergency services Birthing friendly

St Elizabeth's Medical Center

Acute Care Hospitals · Brighton, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220036
Location736 Cambridge StreetBrighton, MA 02135 · Suffolk County
Emergency services Birthing friendly

Morton Hospital

Acute Care Hospitals · Taunton, MA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number220073
Location88 Washington StreetTaunton, MA 02780 · Bristol County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02056 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability98
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%281 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%948 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 261 patients
Patients screened: 100% · 261 patients
100%33 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
97%188 patients4/55-star benchmark: 100%
Surgical Site Infection (SSI)
Lower rates are better for this measure.
0%34 patients
Unplanned Reoperation within the 30 Day Postoperative Period
Lower rates are better for this measure.
0%34 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Nephrology)
31 PINE ST, SUITE 204
NORFOLK, MA 02056
Internal Medicine (Nephrology)
31 PINE ST, SUITE 204
NORFOLK, MA 02056
Clinical Medical Laboratory
31 PINE ST, 1ST FLOOR, REAR
NORFOLK, MA 02056
Internal Medicine (Gastroenterology)
31 PINE ST, SUITE # 300
NORFOLK, MA 02056
Internal Medicine (Cardiovascular Disease)
31 PINE ST
NORFOLK, MA 02056
Internal Medicine (Nephrology)
31 PINE ST, SUITE 204
NORFOLK, MA 02056
Internal Medicine
31 PINE ST
NORFOLK, MA 02056
Orthopaedic Surgery
31 PINE ST
NORFOLK, MA 02056

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Frasca's NPI number?

The NPI number for John Frasca is 1962449959. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is John Frasca located?

John Frasca practices at 31 Pine St Suite 202, Norfolk, MA 02056. The listed phone number is (508) 660-1115.

What is John Frasca's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is John Frasca enrolled in Medicare?

Yes. John Frasca is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Frasca accept?

Health plans from Anthem Blue Cross and Blue Shield list John Frasca as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Frasca affiliated with any hospitals?

According to CMS data, John Frasca is affiliated with Sturdy Memorial Hospital, St Elizabeth's Medical Center and Morton Hospital.

When was this NPI record last updated?

The NPPES record for John Frasca was last updated on October 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.